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See a sample rate comparisonCPT 92587 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Evoked Auditory Test Limited, Distortion Product Evoked Otoacoustic Emissions Limited Evaluation To Confirm The Presence Or Absence Of Hearing Disorder 3 6 Frequencies Or Transient Evoked Otoacoustic Emissions With Interpretation And Report
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Special Otorhinolaryngologic Services and Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $22.05 national non-facility rate (2026) · View Medicare rates for 92587 |
| Medicaid Fee Schedule | $19.19 median of the 8 states in the free preview · View Medicaid rates for 92587 |
National average reimbursement for CPT 92587 by major payers:
$32.30
$37.42
$37.05
$41.41
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CPT 92587
5 of 25 sample ratesHigher to lower in this preview
Leah Seifu
Columbia University In The City Of New York
$79.62Published rateJeffrey Olin
North Shore-Lij Medical PC
$45.72Published rateIan Winkler
Advantagecare Physicians, P.C.
$23.22Published rateNadwa Ibrahim
Tribeca Pediatrics PLLC
$11.55Published rateMarie Edith Lefevre
Lionel & Marie Edith F. Lefevre Physicians PC
$4.05Published rate
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See a sample payer proposalCPT 92587 vs. Other Special Otorhinolaryngologic Services and Procedures Codes
The CPT 92587 code is part of the Medicine Services and Procedures services used for Special Otorhinolaryngologic Services and Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 92587 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 92584-CPT | Low | Electrocochleography |
| 92587-CPT | Low | Evoked Auditory Test Limited, Distortion Product Evoked Otoacoustic Emissions Limited Evaluation To Confirm The Presence Or Absence Of Hearing Disorder 3 6 Frequencies Or Transient Evoked Otoacoustic Emissions With Interpretation And Report |
| 92588-CPT | Low | Evoked Auditory Tst Complete, Distortion Product Evoked Otoacoustic Emissions Comprehensive Diagnostic Evaluation Quantitative Analysis Of Outer Hair Cell Function By Cochlear Mapping Minimum Of 12 Frequencies With Interpretation And Report |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92587. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92587 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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Frequently Asked Questions
To get an estimate for a medical procedure, you can contact your healthcare provider's billing department or your insurance company. For specific CPT code and location-based fee schedules, you can use tools like Payerprice to look up estimated costs, helping you understand potential out-of-pocket expenses.
CPT (Current Procedural Terminology) codes are standardized five-digit codes used by healthcare providers to describe medical, surgical, and diagnostic services. They are crucial for accurate billing, for your insurance company to process claims, and for you to research the specific cost of a procedure. Knowing the CPT code allows you to utilize tools like Payerprice more effectively to find pricing information.
Medical procedure costs can vary significantly due to several factors, including the healthcare facility (e.g., hospital vs. outpatient clinic), geographical location, the specific provider's fees, negotiated rates with different insurance companies, and the complexity or specific circumstances of the case. These variations highlight the importance of researching costs upfront.
An Explanation of Benefits (EOB) is a document sent by your health insurance company after you receive medical care. It details what services were covered, the total cost charged by the provider, what the insurer paid, and what amount you may owe. It is not a bill, but an explanation of how your claim was processed based on your policy.
If you receive a surprise medical bill, first review it carefully and compare it with your Explanation of Benefits (EOB). Contact your insurance company and the provider's billing department to understand the charges. Many states and federal laws, such as the No Surprises Act, offer protections against unexpected balance billing from out-of-network providers. For specific cost information that can help you advocate for yourself, you can use Payerprice to look up typical fees for the services you received based on CPT code and location.